20D0860134 CLIA NUMBER - WELLS FAMILY PRACTICE, LLC

Laboratory Demographics

  • CLIA Code: 20D0860134
  • Facility Name: WELLS FAMILY PRACTICE, LLC
  • Facility Address: 59 MILE RD
    WELLS, ME
    ZIP 04090
  • Facility Phone: 207 646-0676
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY T. COTE
  • NPI Number: 1134309511
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 20D0860134
LAB Type Physician Office
Facility Name WELLS FAMILY PRACTICE, LLC
Street 59 MILE RD
City WELLS
State ME
ZIP 04090
Phone 207 646-0676
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director JEFFREY T. COTE

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This page was last updated on: 9/29/2025